Provider Demographics
NPI:1720013931
Name:MCSWEENEY, PATRICK R (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:R
Last Name:MCSWEENEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:124 GROVE ST
Mailing Address - Street 2:STE 305
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3156
Mailing Address - Country:US
Mailing Address - Phone:508-528-5392
Mailing Address - Fax:508-541-2420
Practice Address - Street 1:74 MAIN ST
Practice Address - Street 2:GOULD'S COLONIAL PLAZA
Practice Address - City:MEDWAY
Practice Address - State:MA
Practice Address - Zip Code:02053-1824
Practice Address - Country:US
Practice Address - Phone:508-533-7161
Practice Address - Fax:508-533-7306
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2011-08-04
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Provider Licenses
StateLicense IDTaxonomies
MA79556207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3134598Medicaid
J14859Medicare ID - Type Unspecified
MA3134598Medicaid